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Biomedical subjects

A G Rezler

Publications and source records attributed to A G Rezler.

At least 19 recordsLinked to original sources

Assessment of ethical decisions and values.

The development and pilot testing of the Professional Decisions and Values Test (PDV) is described. The PDV is designed to assess how ethical conflicts are dealt with by medical and law students and which moral values motivate them. Data from two consecutive classes of entering medical and law students are presented and their action tendencies and ethical values are compared. The findings support the construct validity of the test. Regarding reliability, stability over time is present for action tendencies but not for values. Perhaps the ethical values of entering medical and law students do not become stable until later. Change in ethical values can be studied with the PDV for groups, not individuals, during the first year of professional education.

Attitude

What is missing from patient histories?

Second year students' proficiency in history taking was evaluated by the Objective Structured Clinical Examination (OSCE) and a written test, with particular attention to Risk Factors and Psychosocial Data. Students concentrated on obtaining Diagnostic Information on both tests, but those students who worked with preceptors in the community, (PCC program), included a wider range of data. Overall performance was higher on the OSCE which emphasized diagnostic information. Student histories tend to exclude Risk Factors and Psychosocial Data unless their inclusion is modeled and expected by faculty.

Education, Medical, Undergraduate

Self-assessment in problem-based groups.

Medical students in a tutorial program rated themselves in Year 1 and again in Year 2 on Knowledge, Reasoning, Communication and Interpersonal Skills. Student and tutor ratings were similar in Year 1 but different in Year 2. Both self- and tutor ratings increased from Year 1 to Year 2 but self-ratings were independent of achievement while tutor ratings were related to achievement. Possible reasons for these results were discussed with reference to the learning goals of the tutorials.

Achievement

Who goes into family medicine?

A study was designed to identify criteria that could help select applicants to medical school with a lasting commitment to family medicine and to test the application of such criteria to predict career choice. The sample included 43 residents and physicians who chose family medicine when they entered medical school and five residents who decided on family medicine later. From the initial group, 19 remained stable in their choice of family medicine, and 24 switched to another specialty. Medical school folders and telephone interviews were used as data sources. The characteristics of stable family physicians and those who became specialists were identified, and the predictive power of these criteria was tested with 30 graduates selected at random. Based only on their entrance records, 25 of the 30 graduates were correctly identified as future family physicians or specialists. The use of these criteria in the admission process is discussed in terms of increasing the number of students who will become stable family physicians.

Adult

Factors in the choice of academic or practice careers in pulmonary medicine.

The characteristics, motives, and sources of job satisfaction were compared between persons choosing a research career in academic pulmonary medicine and those choosing a career in the practice of pulmonary medicine. In a first study, established practitioners and academic researchers were asked what the main influences were on their career decisions, from what they obtained job satisfaction, and why they did or did not choose academic medicine. After these results were obtained a second questionnaire was sent to all pulmonary fellows in U.S. programs asking them their future career plans, reasons for their career choices, factors in their job satisfaction, and attitudes toward an academic career. Both current and future researchers desired intellectual challenge, continued learning, and an opportunity to investigate, whereas established and future practitioners derived more satisfaction from patient care. The opportunity to be creative, the chance to work fixed hours, and to gain national recognition were more important to future academic researchers. The prospective practitioners rated helping people, freedom from bureaucracy, and income level as the major determinants of their career choice. In addition to the personal qualities, many environmental factors, such as participating in a successful research project and encouragement from faculty, were important in leading a pulmonary fellow to select a research career.

Career Choice

A comparison of personality types among female student health professionals.

The purpose of the study reported here was to focus on the personality traits of six groups of women students in medicine, pharmacy, medical technology, physical therapy, dietetics, and occupational therapy. The Myers-Briggs Type Indicator was administered to all groups to measure Extroversion-Introversion, Sensing-Intuition, Thinking-Feeling, and Judging-Perception. Results show that (a) medical students in contrast to the other five groups are guided more by thinking than feelings in their approach to work and people and (b) pharmacy students prefer well-planned, routine work in contrast to occupational therapy students who like changing situations and flexibility. Some implications of these findings for the health team are mentioned.

Chicago

Hope for that hopeless essay test.

Despite the fact that essay tests have been under attack, teachers continue to use them. Although preparation and scoring of questions can be problematic, they can, however, be employed successfully if the teacher 1) recognizes their limitations, 2) prepares the questions carefully so that they will test what the teacher intends, and 3) uses methods of scoring that will judge the answers as accurately as possible. With continued practice, the teachers can develop skill in using the essay format.

Education, Nursing

Methods of attitude assessment for medical teachers.

A variety of methods to assess attitudes toward patient care, the medical profession and medical education have been described. Direct, written methods have been most widespread; they are most useful with anonymous respondents when group, rather than individual, data are sought. Examples of disguised, written and audio-visual methods were also presented to stimulate readers to experiment with these approaches. Finally, observational methods were reviewed to capture behaviours in real and simulated situations that reflect attitudes.

Attitude of Health Personnel

Personality and job satisfaction of medical technologists.

The personality characteristics and job satisfaction patterns of a volunteer group of practicing medical technologists were measured by the Myers-Briggs Type Indicator and the Job Description Index. Data analysis was based on three groups of female subjects: clinical practitioners, educators, and administrators. There was little primary impact of personality upon job satisfaction, although definite patterns of personality are identifiable in the three groups. Implications for counseling students and placing practitioners in satisfying jobs were suggested, and additional studies to be conducted were identified.

Administrative Personnel